Provider Demographics
NPI:1700278322
Name:ZEPHIRIN, ERIC (DPM)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:ZEPHIRIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 SW 37 AVE
Mailing Address - Street 2:#101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133
Mailing Address - Country:US
Mailing Address - Phone:305-444-7114
Mailing Address - Fax:305-444-9587
Practice Address - Street 1:2645 SW 37 AVE
Practice Address - Street 2:#101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133
Practice Address - Country:US
Practice Address - Phone:305-444-7114
Practice Address - Fax:305-444-9587
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3790213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018342600Medicaid